7/31/2019 Luncheon with first lady Michelle Obama & Jane
Lynch
2/2
Paid for by Obama Victory Fund 2012, a joint fundraising
committee authorized by Obama for America, the DemocraticNational
Committee, and the State Democratic Parties in the following
states: CO, FL, IA, NV, NH, NC, OH, PA, VA, and WI.
Yes! I/we would like to attend the luncheon on June 26 th:$5,000
per person: Event Host, includes one photo for group of up to 5
guests + 5 tickets for the luncheon (preferred seating)
$2,500 per person: Event Sponsor, includes one photo + one
ticket for the luncheon (preferred seating)
$1,000 per person: includes one ticket to the luncheon
(preferred seating)
$250 per person: includes one ticket to the luncheon (general
seating)
I am unable to attend, but would like to support Obama Victory
Fund 2012 by contributing: $___________
Name(s) of attendee(s):
____________________________________________________________________________
I was invited to attend by:
__________________________________________________________________________
Please make checks payable to:
Obama Victory Fund 2012
130 E Randolph Street, Suite 600 | Attn: Jeremy Hallahan
Chicago, IL 60601
Fax: (312) 361-8075
Total Amount: $________________
Invited by: _____________
Obama Victory Fund 2012 does not accept contributions from
currently registered federal lobbyists, registered foreign
agents,
political action committees, or minors under the age of 16.
Corporate and labor union contributions are prohibited.
Federal law requires us to use our best efforts to collect and
report the name, mailing address, occupation and employer of
individuals whose contributions exceed $200 in an election
cycle.
First & Last
Name:_________________________________________________________________________________________________________________________________________________________
Address:
______________________________________________________________________________
_____________________________________________
City/State/Zip:
_________________________________________________________________________________________________________
Employer: _____________________________________________
Occupation:
____________________________________________________
Work Phone: ___________________________________________ Work
Fax: _____________________________________________________
Home Phone: __________________________________________ Email:
_________________________________________________________
Federal law prohibits foreign nationals, except lawfully
admitted permanent residents of the U.S., from contributing to
the
Obama Victory Fund 2012. By signing below, I certify that I am a
U.S. citizen or lawfully admitted permanent resident of the
U.S., the funds I am donating are not being provided to me by
another person or entity for the purpose of making this
contribution, and that my contribution shall be allocated as
stated below.
Signature:
_____________________________________________________________________________________________
Second Signature, If Contributing From Joint Account*:
_________________________________________________________
Contribute by Personal Check:
Please make checks payable to Obama Victory Fund 2012 and mail
to the address listed above.
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_____________________________________________________________________Exp:
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Name as it appears on the card:
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Signature: _______________________
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Second Name on Account, if Joint Account*:
______________________________________________________________________________
*Contributions will be evenly attributed between names.
Second Name Employer: ______________________________________
Second Name Occupation: ______________ _________________
Second Signature for Joint Account:
___________________________________________________________________________
Contributions or gifts to Obama Victory Fund 2012 are not tax
deductible. The first $5,000 of a contribution to OVF 2012 will
be
allocated to Obama for America (with the first $2,500 designated
for the primary, and the next $2,500 for the general election). The
next
$30,800 of a contribution will be allocated to the Democratic
National Committee. Any additional amounts from a contributor will
be
divided among the State Democratic Party Committees as follows,
up to $10,000 per committee and subject to the biennial
aggregate
limits: FL (17%); OH (16%); PA (13%); CO (11%); NC (11%); VA
(11%); NV (6%); WI (6%); IA (5%); and NH (4%). A contributor
may
designate his or her contribution for a particular participant.
The allocation formula above may change if following it would
result in
an excessive contribution. Contributions will be used in
connection with a Federal election.
IL238
Click here to contribute online:
https://my.barackobama.com/June26ChicagoLuncheon
ource: Sunlight Foundation's Party Time
www.politicalpartytime.org. The Sunlight Foundation collects these
invitations from anonymous lobbyist sou
https://my.barackobama.com/June26ChicagoLuncheonhttps://my.barackobama.com/June26ChicagoLuncheonhttps://my.barackobama.com/June26ChicagoLuncheonhttps://my.barackobama.com/June26ChicagoLuncheonhttps://my.barackobama.com/June26ChicagoLuncheon
